Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.66 / $1,334.43 / $7,218.64	Professional		$831.66	$1,334.43	$7,218.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.51 / $1,172.51 / $1,172.51	Facility		$1,172.51	$1,172.51	$1,172.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.93 / $855.93 / $1,172.51	Professional		$855.93	$855.93	$1,172.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,557.19 / $3,974.37 / $5,183.57	Professional		$1,557.19	$3,974.37	$5,183.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,334.43 / $1,828.17 / $2,224.56	Facility		$1,334.43	$1,828.17	$2,224.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,654.04 / $2,091.09 / $2,335.79	Professional		$1,654.04	$2,091.09	$2,335.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,765.79 / $2,002.10 / $2,224.56	Facility		$1,765.79	$2,002.10	$2,224.56
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,876.44 / $2,224.56 / $2,224.56	Professional		$1,876.44	$2,224.56	$2,224.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,172.51 / $1,908.23 / $2,335.79	Facility		$1,172.51	$1,908.23	$2,335.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $855.93 / $1,947.90 / $2,447.02	Professional		$855.93	$1,947.90	$2,447.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,853.38 / $3,699.36 / $7,804.46	Facility		$1,853.38	$3,699.36	$7,804.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,913.12 / $2,447.02 / $2,447.02	Professional		$1,913.12	$2,447.02	$2,447.02
United Facility/Professional Professional Modifier Low / Median / High Price $894.40 / $936.14 / $1,786.03	Professional		$894.40	$936.14	$1,786.03